LAKE CUMBERLAND REGIONAL HOSPITAL LLC (NPI# 1619038247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619038247 |
| Entity Type | Organization |
| Organization Name | LAKE CUMBERLAND REGIONAL HOSPITAL LLC |
| Other Organization Name | LAKE CUMBERLAND REGIONAL HOSPITAL |
| Practice Address |
305 Langdon Street Somerset KY 42502 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 6066762250 |
| Practice Fax Number | 6064510963 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-06-09 |
| Authorized Official Name | MR. KATHY J. TEAGUE (ASSISTANT VICE PRESIDENT, SECRETARY) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
100959 | KY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 01000090 | 05 |
| Other Name | Type Code |
|---|---|
| Lake Cumberland Regional Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093092744 | Lake Cumberland Regional Hospital LLC | Nurse Practitioner | 353 Bogle St, Suite A, Somerset, KY 42503-2888 | 2011-11-09 |
| 1073704789 | Lake Cumberland Regional Hospital LLC | Internal Medicine | 350 Hospital Way, Suite 250, Somerset, KY 42503-2872 | 2007-08-07 |
| 1215070164 | Lake Cumberland Regional Hospital LLC | Family Medicine | 305 Langdon St, Somerset, KY 42503-2750 | 2007-02-14 |
| 1952449746 | Lake Cumberland Regional Hospital LLC | Anesthesiology | 305 Langdon St, Somerset, KY 42503-2750 | 2007-02-02 |
| 1023155462 | Lake Cumberland Regional Hospital LLC | Clinic/Center | 305 Langdon St, Somerset, KY 42503-2750 | 2007-02-01 |
| 1629130562 | Lake Cumberland Regional Hospital LLC | Skilled Nursing Facility | 305 Langdon St, Somerset, KY 42503-2750 | 2006-12-15 |
| 1437210069 | Lake Cumberland Regional Hospital LLC | Psychiatric Unit | 305 Langdon St, Somerset, KY 42503-2750 | 2006-12-13 |
| 1346301975 | Lake Cumberland Regional Hospital LLC | Rehabilitation Unit | 305 Langdon St, Somerset, KY 42503-2750 | 2006-12-13 |
| 1407925258 | Lake Cumberland Regional Hospital LLC | Hospitalist | 305 Langdon St, Somerset, KY 42503-2750 | 2006-11-07 |
| Street Address |
305 LANGDON STREET |
| City | SOMERSET |
| State | KY |
| Zip Code | 42502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730489840 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 305 Langdon Street, Suite P, Somerset, KY 42503 | 2010-10-25 |
| 1376760959 | Amardeep K Reddy | Anesthesiology | 305 Langdon Street, Cumberland Anesthesia Associates, Somerset, KY 42503-2750 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204939 | Mark Anthony Diehl | Physical Medicine & Rehabilitation | 1553 State Highway 27, Suite 3100, Somerset, NJ 08873 | 2020-10-29 |
| 1447859483 | Somerset Senior Care, LLC | Assisted Living Facility | 1870 Easton Avenue, Somerset, NJ 08873 | 2020-10-21 |
| 1043819196 | Kimberly S Christie | Nurse Practitioner | 107 Sheraton Ave, Somerset, MA 02725-1150 | 2020-10-20 |
| 1861090961 | Ayanna Shumate | Home Health Aide | 16 Burnham St, Somerset, NJ 08873-4752 | 2020-10-12 |
| 1295332195 | Chelsey Herzig Donohue | Registered Nurse | 108 Southridge Dr, Somerset, KY 42503-4841 | 2020-10-04 |
| 1851908651 | Chandni Arun Pathak | Social Worker | 458 Elizabeth Ave Ste 5-348, Somerset, NJ 08873-5110 | 2020-09-25 |
| 1861008914 | Erin Nicole Boccher | Specialist/Technologist | 89 Prestbury Ln, Somerset, NJ 08873-4783 | 2020-09-23 |
| 1619582715 | New Hope and Revelations Counseling | Counselor | 409 Georgian Pl, Somerset, PA 15501-1612 | 2020-09-15 |
| 1669087466 | Sherry L Young | Case Manager/Care Coordinator | 72 Southland Dr, Somerset, KY 42501-6120 | 2020-09-09 |
| 1750995023 | Farrah C Jenkins | Massage Therapist | 1 John F Kennedy Blvd Apt 29g, Somerset, NJ 08873-6926 | 2020-09-03 |
| Find all providers in SOMERSET | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700338571 | Aimee Sue Krause | General Acute Care Hospital | 115 Biddle Ln, Somerset, PA 15501-1686 | 2016-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443654 | Memorial Hospital Inc | General Acute Care Hospital | 53 Queendale Ctr Ste 200, Beverly, KY 40913-9608 | 2020-07-01 |
| 1316939689 | Clinton County Hospital, Inc. | General Acute Care Hospital | 723 Burkesville Rd, Albany, KY 42602-1654 | 2005-08-22 |
| 1992701429 | Saint Joseph Health System Inc | General Acute Care Hospital | 1001 Saint Joseph Ln, London, KY 40741-8345 | 2005-06-21 |
| 1013379528 | The Medical Center At Clinton County, Inc. | General Acute Care Hospital | 723 Burkesville Rd, Albany, KY 42602-1654 | 2016-03-23 |
| 1487976163 | H. Eduardo Pavon M.d. | General Acute Care Hospital | 298 Main St, Suite 2, Cadiz, KY 42211-9155 | 2010-02-22 |
| 1699941427 | St Claire Regional Medical Center | General Acute Care Hospital | 445 Clinic Dr, Morehead, KY 40351-1077 | 2008-05-01 |
| 1558585091 | Ccmh Corporation | General Acute Care Hospital | 309 11th St, Carrollton, KY 41008-1435 | 2007-04-13 |
| 1063549814 | Murray Calloway County Public Hospital Corporation | General Acute Care Hospital | 803 Poplar St, Murray, KY 42071-2432 | 2007-02-28 |
| 1780746420 | Spring View Hospital LLC | General Acute Care Hospital | 320 Loretto Rd, Lebanon, KY 40033-1300 | 2006-12-15 |
| 1326107319 | Georgetown Community Hospital LLC | General Acute Care Hospital | 1140 Lexington Rd, Georgetown, KY 40324-9330 | 2006-12-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.